NPI | 1811906357 |
---|---|
Doing Business As | PRESCRIPTION SHOPPE |
Entity Type | Organization |
Authorized Contact | AMANDA ANN KETCHUM Chief Pharmacist 662-286-5747 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 03051/01.1) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2008-11-17 |